Financial Performance and Risks - The company has incurred significant operating losses since inception and expects to continue incurring losses in the future[12] - The company is highly dependent on revenue from the sale of a single family of products focused on sacroiliac joint stabilization, which could negatively affect financial results[12] - The company anticipates a significant portion of revenues will be derived from sales of the iFuse Implant System[16] - The company faces substantial risks and uncertainties that may cause actual results to differ materially from current expectations[18] Market and Competitive Environment - Prolonged inflation and supply chain disruptions could lead to delayed product launches, lost revenue, and decreased profit margins[12] - There is a risk of pricing pressure from competitors and changes in reimbursement policies that could impact revenue[12] - The company faces pricing pressure from competitors and changes in third-party coverage that may affect product sales[12] Product Development and Adoption - Future revenue growth is expected to come from new indications for use and additional product development[16] - If clinical trials for the iFuse Bedrock technique and related products do not show meaningful patient benefits, sales could be adversely impacted[12] - The company faces risks related to obtaining adequate coverage and reimbursement from third-party payors, which could hinder product adoption[12] - There is a risk that healthcare providers may not obtain adequate reimbursement for procedures using the company's products, potentially delaying adoption[12] Supply Chain and Regulatory Compliance - The company is dependent on a limited number of third-party suppliers, which poses risks to the supply chain and product availability[15] - The company relies on a limited number of third-party suppliers, and the loss of any of these suppliers could materially affect business operations[15] - The company must comply with extensive governmental regulations, and failure to do so could adversely affect operations[15] - The company must comply with extensive governmental regulations, and failure to do so could negatively impact business[15] Sales and Market Strategy - The company is focused on maintaining its sales team and training physicians to ensure continued demand for its products[16] - The company anticipates that market dynamics may shift procedures from hospitals to ambulatory surgical centers, affecting pricing strategies[12]
SI-BONE(SIBN) - 2023 Q4 - Annual Report